ANTONIO DEMARCUS BROADWAY

BATON ROUGE, LA
NPI1538672399
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101Y00000X Counselor
Enumeration Date2017-11-14
Last Update Date2018-06-16
Business Address
ANTONIO DEMARCUS BROADWAY
5810 MCCANN DR
BATON ROUGE, LA 70809-4149
Phone number: 225-221-7831
Mailing Address
ANTONIO DEMARCUS BROADWAY
5810 MCCANN DR
BATON ROUGE, LA 70809-4149
Phone number: 225-221-7831
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